Table II.
Risk factors for non-impact ACL injury.
| For non-impact ACL Injury10 | Relevant to stroke | Relevant to case report |
|---|---|---|
| Genetics | ||
| Female Gender | Female Gender | |
| Hormonal Concentration | Hormonal changes occur after stroke | |
| Increased knee joint laxity | Laxity may be evident in patients with flaccidity especially during initial phase of motor recovery after stroke. | |
| Decreased intercondylar notch width | ||
| Increased posterior tibial slope | ||
| Neurocognitive factors | Slow reaction time Processing speed Impulsivity Poor insight Impaired judgment Visuo-spatial impairment Neglect |
Slow reaction time secondary to left MCA stroke. |
| Neuromuscular factors | Weakness Proprioceptive impairment Spasticity and Limb dystonia Associated reaction Co-contraction Ankle Clonus Imbalance Incoordination Fatigue |
Weakness Imbalance Ankle Clonus |
| Prior ACL injury | ||
| Extrinsic factors | Ground surface, footwear | Uneven surface (garden) Wearing inappropriate shoes (open shoes) |